is a Military Health Care Provider in , . practices all healthcare services and medical treatments related to Military Health Care Provider. The NPI Number for is 1366494924. The last update date is .
's current location address is , , . You can contact this provider via phone number . The mailing address for is , , . To know further, please read the information below!
Provider Profile Detail
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Sole Proprietor | -- |
Credentials | -- |
NPI Number Detail
NPI Number | 1366494924 |
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Provider Mailing Address Detail
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State | () |
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Provider's Primary Taxonomy Detail
Speciality | Military Health Care Provider |
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Taxonomy | 171000000X |
Licence No | 2552-C |
Definition: Active duty military health care providers not otherwise classified who need to be separately identified for operational, clinical, or administrative processes. |
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